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General NPI Number Information
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NPI Number | 1427337096
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Entity Type | Organization
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Legal Business Name | CENTURIAN ADMINISTRATION CORP
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Dates
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Enumeration Date | 08/12/2011
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Last Update Date | 08/19/2011
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Provider Practice Location Address
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Address Line | 28960 US 19 N SUITE 102
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City | CLEARWATER
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State | FL
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Zip | 33761-2403
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Country | US
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Telephone | 800-743-0093
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Fax | 800-573-6600
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Provider Business Mailing Address
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Address Line | 28960 US 19 N SUITE 102
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City | CLEARWATER
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State | FL
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Zip | 33761-2403
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Country | US
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Telephone | 800-743-0093
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Fax | 800-573-6600
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ROSELLA MESSINA
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Credential |
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Telephone | 800-743-0093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | CH4467
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License Number State | FL
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